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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.60

P02.60

Billable

Newborn affected by unspecified conditions of umbilical cord

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P02.60 is a billable code used to indicate a diagnosis of newborn affected by unspecified conditions of umbilical cord.

Key Diagnostic Point:

The code P02.60 is used to classify newborns who are affected by unspecified conditions related to the umbilical cord. This can include complications arising from the umbilical cord itself, such as cord prolapse, which occurs when the umbilical cord slips ahead of the presenting part of the fetus during labor, potentially leading to cord compression and fetal distress. Additionally, this code encompasses conditions associated with the placenta and membranes, such as placenta previa, where the placenta is abnormally positioned over the cervix, and chorioamnionitis, an infection of the fetal membranes that can lead to serious complications for both the mother and newborn. These conditions can result in various complications, including preterm birth, low birth weight, and increased risk of neonatal morbidity. Accurate coding is essential for proper management and treatment of affected newborns, as well as for tracking outcomes and resource allocation in neonatal care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of umbilical cord conditions
  • Need for detailed documentation of maternal and fetal history
  • Differentiation between similar conditions affecting the newborn
  • Potential for multiple co-existing conditions requiring precise coding

Audit Risk Factors

  • Inadequate documentation of maternal complications
  • Failure to specify the type of umbilical cord condition
  • Misclassification of related conditions
  • Lack of clarity in clinical notes regarding the newborn's status

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Neonatal documentation must include detailed birth history, any complications during labor, and immediate postnatal assessments.

Common Clinical Scenarios

Common scenarios include management of newborns with signs of distress due to cord issues, monitoring for infection in cases of chorioamnionitis, and interventions for preterm infants.

Billing Considerations

Coders should ensure that all relevant maternal and neonatal factors are documented to support the use of P02.60.

Pediatrics

Documentation Requirements

Pediatric documentation should reflect ongoing assessments of the newborn's health, including any follow-up care related to umbilical cord complications.

Common Clinical Scenarios

Pediatric scenarios may involve managing long-term effects of umbilical cord complications, such as developmental delays or respiratory issues.

Billing Considerations

Pediatric coders should be aware of the potential for chronic conditions stemming from perinatal complications.

Coding Guidelines

Inclusion Criteria

Use P02.60 When
  • According to ICD
  • 10 coding guidelines, P02
  • 60 should be used when the specific condition affecting the newborn due to umbilical cord issues is not clearly defined
  • Coders must ensure that all relevant clinical information is documented to support the diagnosis

Exclusion Criteria

Do NOT use P02.60 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care, per day, for evaluation and management of a normal newborn

Clinical Scenario

Used in conjunction with P02.60 when assessing a newborn with umbilical cord complications.

Documentation Requirements

Documentation must include the newborn's condition, any complications, and the care provided.

Specialty Considerations

Neonatologists should ensure that all assessments are thoroughly documented to support billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to track outcomes and manage care for newborns affected by umbilical cord complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to track outcomes and manage care for newborns affected by umbilical cord complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to track outcomes and manage care for newborns affected by umbilical cord complications.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should I document to support the use of P02.60?

To support the use of P02.60, document the specific umbilical cord condition, any maternal complications, and the newborn's clinical status at birth. Include details of any interventions performed and the newborn's response to care.